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Wal-mart Stores East Lp

Wal-mart Stores East Lp is a health care provider in Bentonville, AR. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 2300 Treasury Dr Se, Cleveland, TN 37323-7185, US
Practice Location Phone423-472-0656
Practice Location Fax423-472-0557
Legal Business NameWAL-MART STORES EAST LP
Other Organization NameWALMART PHARMACY 10-5263
Other Organization Name TypeDoing Business As Name
NPI ?1104843200
Entity TypeOrganization
Enumeration Date ? Jul 16, 2006
Last Update Date ? Feb 15, 2017
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Wal-mart Stores East Lp

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies
Pharmacy
PharmacyCommunity/Retail Pharmacy 3960Tennessee

legacy-id-icon Legacy Provider IDs of Wal-mart Stores East Lp

Provider IdIssuer StateIssuer TypeIssuer
4355051916Medicare Nsc
2094081OtherPK
1454416TennesseeMedicaid

official-icon Authorized Official of Wal-mart Stores East Lp

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Wal-mart Stores East Lp's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Sarah Little
Authorized Official Title/PositionDIRECTOR OF HEALTHCARE CONTRACTING
Authorized Official Phone Number479-277-2500